Provider Demographics
NPI:1609035203
Name:DEMETER, TERRENCE MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:TERRENCE
Middle Name:MICHAEL
Last Name:DEMETER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1118
Mailing Address - Street 2:SUITE A & B
Mailing Address - City:ELGIN
Mailing Address - State:SC
Mailing Address - Zip Code:29045-8339
Mailing Address - Country:US
Mailing Address - Phone:803-408-2303
Mailing Address - Fax:
Practice Address - Street 1:1100 ROSE STREET
Practice Address - Street 2:SUITE A & B
Practice Address - City:ELGIN
Practice Address - State:SC
Practice Address - Zip Code:29045-8339
Practice Address - Country:US
Practice Address - Phone:803-408-2303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3317111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor